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General NPI Number Information
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NPI Number | 1811336480
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Entity Type | Organization
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Legal Business Name | ARIZPE PSYCHOLOGY GROUP, INC
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 10210 N 92ND ST SUITE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4509
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Country | US
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Telephone | 480-529-0959
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Fax | 310-988-2883
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Provider Business Mailing Address
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Address Line | 10210 N 92ND ST SUITE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4509
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Country | US
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Telephone | 480-529-0959
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Fax | 310-988-2883
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA A BAILEY-ARIZPE
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Credential | PSYD
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Telephone | 480-529-0959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | CA
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